Topic 7 DQ 1May 2-4, 2022
Describe one internal and one external method for the dissemination of your evidence-based change proposal. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your change proposal to both of these groups. How will your communication strategies change for each group?
REPLY TO DISCUSSIONKKKokila Krishnaswamy
May 2, 2022, 10:19 PM
Dissemination is the communication of clinical, research and theoretical findings for the purpose of transitioning new knowledge to the care of the patient. It is important to transform the evidence change to different level. If not change would not occur and innovations would be adapted. Dissemination is most successful if multiple methods are used.
Internal dissemination is sharing information results within the organization while external dissemination includes individuals or groups outside the organization (Sarver. McNett,2019). My evidence-based proposal is focusing prevention and early diagnosis of obesity related disease such as diabetes.
Internal method of dissemination is the organization board, contains key stakeholders who makes major decisions. Patients are the main stakeholders because it involves behavioral and cultural change. Other members are nurses, physicians, providers, and other professionals involved in patient care (Novins, Green, Legha & Aarons, 2013). The communication could be more personal way, face to face which creates opportunities for questioning and instant feedback.
External dissemination could be done through a professional nursing organization. ANA is the best platform where more nurses and nursing leaders involved in evidence-based research project. Print materials and pear review articles are used to support the evidence practice. It may be presented in face-to-face conferences (Ashcraft, L.E, Quinn D.A & Brownson R.C, 2020).
Ashcraft, Laura Ellen, et al. “Strategies for Effective Dissemination of Research to United States Policymakers: A Systematic Review – Implementation Science.” BioMed Central, BioMed Central, 15 Oct. 2020, https://implementationscience.biomedcentral.com/articles/10.1186/s13012-020-01046-3#citeas
Novins, Douglas K, et al. “Dissemination and Implementation of Evidence-Based Practices for Child and Adolescent Mental Health: A Systematic Review.” Journal of the American Academy of Child and Adolescent Psychiatry, U.S. National Library of Medicine, Oct. 2013, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3922894/.
The dissemination of an evidence-based change proposal can occur through many ways and the goal is to spread knowledge and the associated evidence-based interventions. However, there are internal and external methods for the dissemination of my evidence-based change proposal on heart failure (HF) patients’ compliance to medication and lifestyle changes to prevent hospitalization. An internal method is sharing the evidence-based change proposal with the cardiac clinic organization where I am precepting. It is important to report my change proposal to the cardiac clinic as it will increase the reach of evidence, increase the motivation to use and apply evidence, and increase the ability to use and apply evidence to educate HF patients on compliance to prevent hospitalization (Effective Health Care, 2019). An external method is sharing the evidence-based change project with the American Association of Heart Failure Nurses (AAHFN).
In addition, it is important to report my change proposal to AAHFN as this specialty organization is dedicated to advancing nursing education, clinical practice and research to improve heart failure patient outcomes (American Association, n.d.). It is also important to know how the communication strategies change for each group. For the cardiac clinic, some communication strategies that can be used are tailoring the message, targeting the message to audience segments (e.g., nurses, doctors, patients), using narratives, and framing the message which helps to convey the message in alternative ways (e.g., what is gained or lost by taking an action or making a choice) (Effective Health Care, 2019). For the AAHFN, the communication strategies that can be used are communicating uncertainty as this helps determine whether preventive services and treatments should be implemented and for whom, and communicating evidence with the association members can help make informed decisions (Effective Health Care, 2019).
American Association of Heart Failure Nurses. (n.d.). About AAHFN. https://www.aahfn.org/page/about
Effective Health Care Program, Agency for Healthcare Research and Quality. (2019). Communication and dissemination strategies to facilitate the
Step 1 In your initial post, due Wednesday at 11:59 pm Mountain Time, respond to the following prompts.
Share an example of when you experienced a client who valued health behaviors. Make sure to include the following information as part of your response:
Describe the assignment of value to health behaviors.
What differentiates the value of health behaviors?
Describe what contributes to barriers of health behaviors.
Explain how the nurse assesses the value of health behaviors.
Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.
This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).
In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below. In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.
Ensuring the integrity of human dignity in the care of all patients
In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.
The assignment will be used to develop a written implementation plan.
For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project
After working with your preceptor to assess organizational policies, create a list of measurable outcomes for your capstone project intervention. Write a list of three to five outcomes for your proposed intervention. Below each outcome, provide a one or two-sentence rationale.
TOPIC: Adverse Drug Event in Elderly.
The assignment will be used to develop a written implementation plan.
APA style is not required, but solid academic writing is expected.
Why is understanding the health care system at the local level important to consider when planning an EBP implementation? Conduct research and solicit anecdotal evidence fromther course preceptor that you will take into consideration for your own change project.
The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.
In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.
Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
Consider the best method of disseminating the results of your presentation to an audience.
The Assignment: (Evidence-Based Project)
Part 4: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:
Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
Add a lessons learned section that includes the following:
A summary of the critical appraisal of the peer-reviewed articles you previously submitted
An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)
Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.
Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.
The Assignment: (2-3 pages not including the title and reference page)
In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:
Planning and requirements definition
Design of the new system
Use APA format and include a title page and reference page.
Use the Safe Assign Drafts to check your match percentage before submitting your work.
You have a patient who only has Medicare Part A and B. She has limited income most of which is used to pay for Medicare Part B. She is in dire need of placement into a nursing home as she can no longer care for herself at home. You gleaned from your reading that long-term care needed by low-income elderly people is paid by Medicaid, and you feel your patient meets the criteria. What are the steps you would take to advocate for your patient while she is still in the acute care setting? Who are some of the other health care professionals you would collaborate with to ensure your patient receives the additional healthcare coverage she needs? Analyze the role Medicaid plays in supporting long-term care for the elderly and disabled.
Initial: 400 words. Make up 2 replies to 2 students 200 words each.